A child who weighs 30 kg is experiencing a grand mal seizure.
The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials.
How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).
The Correct Answer is ["1.8"]
Step 1: Calculate the total dose of diazepam for this child by multiplying the child’s weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg × 0.3 mg/kg = 9 mg).
Step 2: Divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg ÷ 5 mg/mL = 1.8 mL).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Providing a urinal for urinary hesitancy may be helpful in some cases, but it does not address the immediate concern of severe testicular pain, redness, and swelling. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice B rationale
Severe testicular pain accompanied by redness and swelling of the scrotum could indicate a serious condition such as testicular torsion. Testicular torsion is a medical emergency that requires immediate intervention to restore blood flow and prevent loss of the testicle.
Therefore, the nurse should immediately report these findings to the healthcare provider.
Choice C rationale
While collecting a sterile urine sample for culture and sensitivity could be useful in diagnosing a urinary tract infection, it does not address the immediate concern of severe testicular pain.
These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice D rationale
Obtaining a swab of secretions from the penis and urethra could be useful in diagnosing a sexually transmitted infection, but it does not address the immediate concern of severe testicular pain. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Correct Answer is C
Explanation
Choice A rationale
Positioning the infant prone after feeding is not recommended as it can increase the risk of sudden infant death syndrome (SIDS) and does not specifically prevent otitis media.
Choice B rationale
While breastfeeding has many health benefits, it is not specifically linked to the prevention of otitis media recurrence.
Choice C rationale
Avoiding smoke exposure is a key recommendation for preventing otitis media recurrence in infants. Secondhand smoke can irritate the eustachian tubes and contribute to fluid build-up in the middle ear, increasing the risk of otitis media.
Choice D rationale
Inspecting the infant’s ears daily is not a specific recommendation for preventing otitis media recurrence. While regular check-ups can help detect any issues early, they do not prevent the recurrence of otitis media.
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